| NPI | 1699755678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE G-0000278) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA UP00365B) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R148066) | |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2019-05-02 |